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Home My WebLink About2009-00382 - roofing CITY OF ORONO PERMIT NO.: 2009-oo3s2 .� 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 07/07/2009 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 2050 SHORELINE DR PIN : 10-117-23-34-0014 LEGAL DESC : HARTWOOD : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 17,000.00 � APPLICANT PERMIT FEE SCHEDULE 295.00 TONKA ROOFING STATE SURCHARGE(VALUATION) 8.50 4573 SADDLEWOOD DR. TOTAL 303.50 MINNETONKA, MN 55345- (612)598-3116 PAID WITH CC# 3309 Minnesota State License#:20586668 OWNER KVAMME TRUST(TOM BROSTROM), BERTA 2050 SHORELINE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shail be compied with whe[her or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the da[e of issuance,or if construction is suspended for a period of I 80 days at any[ime after work has commenced. The applicant is responsible for assuring all required inspections are requested in formance wiCh the State Building Code.This permit may be revo at a or due cause. . , �'" ,�;'!-�'/�. � _ �-. i0 S ��_C_� ,-��t � c; �� , , � �`�� A licant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. t k � _ . . ,`�`''gF�'_:.' ,��, �, .'�e'��"' _ a:;� i :� � - � .� 3 �� a � - n_ . . - . . - . . . .. �' �, �� ! ti."` �st � �` �'� {�� City of Orono `� �� `� � �:�: �; . � Building Permit Application for Internal Work � '��'�� a �,` (windows, doors, siding, re-roof, etc.) � �= � Mailing Address� �.. � �0�� Permit number. � PO Box 66 Q O�, Crystal Bay, MN 55323-0066 Date received: � �a ��' s.;y a i Street Address: f Received by: �; �� '�� 2750 Kelle Parkwa � '�`' �� o � y y Plan review fee: t'�.gESHo�`'� Orono, MN 55356 � Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � This application form must be completed in full and all required information must be submitted. � Incomplete applications will be returned. (Please print) � GENERAL INFORMATION: Job Site Address: , � � S � � �, � � 1 C�� - �i�.-�l� �- � ti' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No � If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be � required unless appficant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. r� + � �sb CONTRACTOR/APPLICANT�IFORMATION: � 1s,' � Name: �u•��,, I�dd�-r n5 State License# 2os 8-66E� ' Expiration Date: 3 �D �;� Phone: 9�1 �37 "3u�s� (office) (cell) a� . Mailing Address: `1SJ�3 Sy�� w�;��0� Cit : � ZIP� S c� � ,�, Contact Person: �� u� ,�se,�, Applicant is: ontracto_,C., / Homeowner (Circle One) Email and/or Fax: � �.' �, � , PROPERTY OWNER INFORMATION: � �� Name: 7c�,�.� ��s�2>--� ,`; Phone (day): �G,� (�v 2 tv/ � -:�< Address: 2oS�� Sh��2 „-� O/ Cit : G✓�,7 ZIP: r. Email and/or Fax ' . � � PROJECT INFORMATION: � ` Type of Project: Any earth movement may require � MCWD review&permits � ❑ Door(s) ❑ Remodel I ❑Water Damage �� Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 � ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 � Re-roof Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek.orq � j Overall Project Description: �� y� � Estimated Construction Valuation of Project(excluding land) $ �7 �� . �� APPLICANT ACKNOWLEDGEMENT: �� :, � �_•' • Agrees to provide all information required or requested by the Building Department; � �' • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they � �{,; are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative � p. but to reject it until it is complete; �• Some or all of the information that you are asked to provide on this application is classified by State law as either private or ,� � confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the � A,,.,; data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our � purpose and intended use of this information is to annually update our records and records of other governmental agencies � ` ' re uired b law. If ou refuse to su I the information, the a lication ma not be issued. � r��-� ti � ' _-____.��._ `�`� ApplicanYs Signature: Date: ?(�j� � �� Last Updated: 05-04-2009 � � "� �� .__ , ,. , _.� � ��.r � . .,�� '_�_ Da� TIME V CITY OF ORONO CALLED IN 7 / INSPECTION OTI E SCHEDULED � � PERMIT NO. � 3� PLETED ADDRESS_ o2DJ`�O � � �J OWNER CONTR. TELEPHONE NO. lOI Z S9� .3l�� DESCRIPTION �iPQ�t � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � � O � W � Q � 2 W � W � � O � RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 Owner►Contractor on sit : Inspector. White Copyllnspector's File Canary Copy/Site Notke DATE TIME � CITY OF ORONO c� 7- /0 INSPECTION N�fOTInCE SCHEDULED 7- -D � PERMIT NO.IX�`1 —D�� COMPLETED ADDRESS S OWNER CONTR. � D TELEPHONE NO. gJ�L Z�7 ��J�� DESCRIPTION ��/�•C.f i�f�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP � SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL p SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J O a � O � W � Q � 2 W � W � � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REfNSPECTiON TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� Owner/Contractor on site• Inspector. (�.�,�,,.:. White Copyllnspector's File Canary CopylSite Notice